Search › Illinois › 103TC0700X
Jacob Barack, PSY.D
NPI 1063028306 · on the registry since 2020
Practice
- Address
- 1875 Dempster St Ste 470
Park Ridge, IL 60068 - Phone
- (847) 795-3100
- Fax
- (847) 723-5882
- Organisation at this address
- Mab & Associates
Uropartners, Llc
Advocate Healthcare
Jose M. Galvez Md Ltd
The Spine Center, S.CInferred from a shared address, not stated in the registry. - Clinicians at this address
- 287
Additional practice sites
- 9920a E. Johnson St., Joint Base Lewis Mcchord, WA
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- Licence states on file
- IL, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois